Is it possible to have a tooth extraction with lupus erythematosus?
Disease description:
I've had lupus erythematosus for several years. Recently, I've experienced severe tooth pain, and my doctor has suggested tooth extraction. However, I'm concerned about the impact on my underlying condition. Can patients with lupus erythematosus undergo tooth extraction?
Doctor's answer (1)
Dr. Yang Tiesheng
In general, whether a patient with lupus erythematosus can undergo tooth extraction mainly depends on the individual's specific condition. If the lupus erythematosus is in a stable phase, tooth extraction is usually feasible. However, if the disease is in an active stage, tooth extraction is not recommended.
If a patient with lupus erythematosus is in a stable phase, with mild symptoms, relatively stable immune system function, and no severe complications such as oral ulcers or thrombocytopenia, tooth extraction may be considered under certain conditions. However, the extraction must be performed under the guidance of a qualified physician at a reputable dental hospital or dental department, ensuring appropriate preventive measures are taken before and after the procedure.
Conversely, if lupus erythematosus is in an active phase, the patient's immune system is compromised and may be accompanied by severe complications. In such cases, tooth extraction could lead to local infections, increased bleeding, or even serious systemic infections. Therefore, tooth extraction is generally not advised when the disease is highly active.
Prior to tooth extraction, patients should communicate thoroughly with both a rheumatologist and a dentist to ensure the safety and effectiveness of the dental procedure.
